Organization
BHASKARARA NALAM MD A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHASKARARAO NALAM MD (PRESIDENT)
(760) 365-6381
Entity
Organization
Contact information
Practice address
58471 29 PALMS HWY, STE 202, YUCCA VALLEY, CA 92284
(760) 365-6381
(760) 365-5834
Mailing address
58471 29 PALMS HWY, STE 202, YUCCA VALLEY, CA 92284
(760) 365-6381
(760) 365-5834
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A35263
CA
2086S0129X
Vascular Surgery Physician
A35263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A352630
—
CA
Enumeration date
01/10/2007
Last updated
04/18/2008
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